Baron Dental LLC
Organization Active NPI Dentist · Liberty, MO
NPI 1922401397 · NPPES record last updated Sep 30, 2014
Key facts
- NPI
- 1922401397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 2010016293 (MO)
- Legal business name
- BARON DENTAL LLC
- Practice address
- 1170 W Kansas St
Suite R-2
Liberty, MO 64068-2036 - Phone
- (816) 716-1000
- NPI assigned
- Sep 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Baron Grutter, DDS
- Title
- Owner
- Phone
- (816) 716-1000
National Provider Directory
Locations
1170 W Kansas St
Ste R-2
Liberty, MO 64068
Phone (816) 716-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 2010016293 | MO | Yes |
Addresses
Primary practice location
1170 W Kansas St
Suite R-2
Liberty, MO 64068-2036
Mailing address
1170 W Kansas St
Suite R-2
Liberty, MO 64068-2036
Phone (816) 716-1000
Other names
- King Dental Care
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.